Individual
JARED A DESPAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
150 W SEQUIM BAY RD, SEQUIM, WA 98382-8406
(509) 737-0327
(509) 737-1360
Mailing address
216 N EDISON ST, KENNEWICK, WA 99336-1956
(509) 737-0327
(509) 737-1360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9908
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9908
GENERAL DENTISTRY
WA
Enumeration date
09/20/2006
Last updated
11/02/2023
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